Ingaba intlungu esiyiva ngayo nge- fibromyalgia kunye nesifo esingapheliyo sisifo esivela kuhlobo lomonakalo weentlanzi ezibizwa ngokuba yi-neuropathy? Yona ngcamango esele ijikeleze iminyaka emininzi-emva koko, intlungu yethu iyafana-kodwa ibonisa ukuxhasa ngokubanzi njengoko abaphandi bafumana ubungqina obuninzi.
Uphando lokuqala olwenziwe kwi-American Academy ye-Neurology yintlanganiso yonyaka ka-2010 eToronto ibonisa ukuba abaninzi bethu kule miqathango banento ebizwa ngokuba yi-fiber encinci-neuropathy-engafanelekanga kwiimbumba ezincinci, ezikufutshane nomhlaba wesikhumba sakho ukujongana nentlungu kunye nobushushu uvakalelo.
( Ubuninzi bokushisa ngumbonakalo uphawu oluqhelekileyo lwe-fibromyalgia kunye nesifo esingapheliyo.
Kule sifundo, abaphandi bathatha i-skin biopsies kubantu abangama-30 abanesifo se-fibromyalgia, isifo esingapheliyo sokugula, isifo esingapheliyo, okanye ukudibanisa kwezi zifo, kunye neqela elilawulayo. Kubantu abaneemeko ezibuhlungu, i-biopsies ibonise ukuba aba-13 kubo, okanye 43%, babenobungqina bentambo ye-fiber neuropathy.
(Leyo yipesente enkulu, ngokuqinisekileyo, kodwa inikwe ubungakanani besampula esincinane yabantu aba-30 kuphela, ayikho into ecacileyo. Kodwa ke, uthembisa ngokwaneleyo ukukhokelela kwizifundo ezinkulu kwixesha elizayo.)
UDkt. Devanshi Gupta, umphandi okhokelayo, uthi oogqirha kufuneka bahlolisise i-fiber neuropathy encinci nge-skin biopsies kwizigulane ezineempawu ezilandelayo:
- Ukukhawuleza, iintlungu zokudubula,
- I-Orthostatic hypotension,
- Izimpawu ezizimeleyo,
- Utshintsho lwesikhumba olunxulumene nokuphazamiseka kwezibilini,
- I-Incontinence,
- Ukuhlukumeza ngokwesondo,
- Okanye ezinye iimpawu ze-neuropathic.
Nangona kunjalo, abanye oogqirha bathi i-skin biopsies ayithembekanga ngokwaneleyo kwaye kufuneka isetyenziswe kuphela ukuqinisekisa ukuxilongwa ngokusekelwe kuviwo kunye nembali.
Uyakwazi ukubona ezininzi iimpawu ezibhalwe apha ngasentla njenge-fibromyalgia kunye neempawu zesifo sokugula, okuquka iintlungu, i-orthostatic hypotension (uxinzelelo lwegazi luyeka ekumeni okwenza udizzy), kunye neempawu zokuzimela.
Ukugqithwa kweempawu kunokukwenza kube nzima ukufumanisa i-fiber encinci ye-neuropathy esekelwe kwiimpawu kunye novavanyo kuphela, ngoko i-biopsy inokuba luncedo ngakumbi ekuqinisekiseni ukuxilongwa kuthi kunabantu bonke.
Eyona ndlela
Ubungqina obuninzi buphakamisa ukuxhasa inkcazo yokuba le miqathango, okanye ubuncinane iqela elikhulu lazo, li-neuropathic. Ubuninzi beentlungu zentlungu, ukungavaliyo kwemisipha engaqhelekanga kunye nokuphendula okungavumelekanga kwimiba yonke inqaku, ukuba ininzi kuthi kuthi sincediswa unyango olujoliswe kwi-neuropathy, njengeLyrica (pregabalin) neNeurontin (gabapentin). Ukuhlolisisa i-fiber neuropathy encinci kunokunceda oogqirha banqume ukuba ngubani na ongasabela kwiintlobo zonyango.
Ngoko ukuba lo uphando luchanekile kwaye nje ngaphantsi kwesigamu sethu sinalo hlobo lokuphuza i-neuropathy, oko kuthetha ntoni kuthi sonke? Yiyo into ekufuneka ihlolwe ngokubanzi, kodwa ukuhlolisisa kuya kuba lula xa kungabandakanyi iqela elincinci le-fibra neuropathy. Siyazi ukuba asikho sonke ngokufanayo, kwaye xa sinokukwazi ukuchaneka ngokuchanekileyo, sinokukwazi ukufumana iimpendulo zangempela kwimibandela yethu emininzi.
Umthombo:
I-Gupta D, iHarney J. Encinci ye-fibre neuropathy iboniswe kwiintlungu zesifo. Iseshoni yesimboli esinikwe kwiNtlanganiso yonyaka ye-American Academy ye-Neurology; 2010 Apr 10-17; Toronto, Ontario.